| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.26 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Anthem BCBS
| Professional | $270.75 | $285.00 | $285.00 | |
Cigna
| Facility | $258.19 | $258.19 | $424.08 | |
Cigna
| Professional | $309.58 | $309.58 | $309.58 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 |